# LMMC COUNCIL BLUFFS LLLP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861951568
- **Authorized official:** KRISTIE BUTTS (CREDENTIALING)
- **Authorized official phone:** (402) 817-4810

## Contact information

- **Practice address:** 20 POWER DR STE 5, COUNCIL BLUFFS, IA 51501-7701
- **Practice address phone:** (402) 614-4969
- **Practice address fax:** (402) 614-4416
- **Mailing address:** 2255 S 132ND ST STE 100, OMAHA, NE 68144-2573
- **Mailing address phone:** (402) 614-4969
- **Mailing address fax:** (402) 614-4416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2019
- **Last updated:** 03/13/2019